Individual
DENAE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6125 SW BOUNDARY ST, PORTLAND, OR 97221-1019
(503) 535-4337
Mailing address
5933 SE HARNEY ST, PORTLAND, OR 97206-8967
(503) 781-2868
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09072
OR
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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